{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:25Z","timestamp":1787755345751,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 70-year-old man presented with a left pilon fracture after a 10-foot fall from a ladder. The severe amount of comminution, joint destruction, and impaction from this injury eventually resulted in a tibiotalar fusion. Owing to multiple tibiotalar fusion plates not being long enough to span the extent of the fracture, a tensioned proximal humerus plate was used as an alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We do not endorse the off-label use of a tensioned proximal humerus plate for all tibiotalar fusions; however, we do believe that this is a useful technique in certain situations with large zones of distal tibial comminution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00576","type":"journal-article","created":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T11:00:20Z","timestamp":1677754820000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["An Off-Label Use of a Tensioned Proximal Humerus Plate for Tibiotalar Fusion"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1507-6863","authenticated-orcid":false,"given":"Arun","family":"Aneja","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8640-7124","authenticated-orcid":false,"given":"Chandler R.","family":"Sneed","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6821-3382","authenticated-orcid":false,"given":"Richard W.","family":"Pectol","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3712-1792","authenticated-orcid":false,"given":"Matthew W.","family":"Kavolus","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3875-5401","authenticated-orcid":false,"given":"Jeffrey A.","family":"Foster","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0185-6068","authenticated-orcid":false,"given":"Daria L.","family":"Kinchelow","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10]]},"reference":[{"issue":"6","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1177\/107110079902000606","article-title":"Salvage of tibial pilon fractures using fusion of the ankle with a 90 degrees cannulated blade-plate: a preliminary report","volume":"20","author":"Morgan","year":"1999","journal-title":"Foot Ankle Int."},{"issue":"3","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/00005131-200103000-00002","article-title":"Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques","volume":"15","author":"Blauth","year":"2001","journal-title":"J Orthop Trauma."},{"issue":"7","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"613","DOI":"10.3928\/0147-7447-19950701-06","article-title":"Tibial pilon fractures: a comparative clinical study of management techniques and results","volume":"18","author":"Crutchfield","year":"1995","journal-title":"Orthopedics."},{"issue":"4","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1177\/107110070602700406","article-title":"Results and outcomes after operative treatment of high-energy tibial plafond fractures","volume":"27","author":"Harris","year":"2006","journal-title":"Foot Ankle Int."},{"issue":"1","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s104-002-8031-1","article-title":"Long-term results in the surgical treatment of pilon tibial fractures. 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